IndividualActive
Joshua Mcdannell, CADC-R
NPI 1386417335 · Substance Use Disorder Rehabilitation Clinic/Center · Portland, OR
Provider details
- NPI number
- 1386417335
- Entity type
- Individual
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Credential
- CADC-R
- Sex
- Male
- Sole proprietor
- Yes
- License
- T-23-3223 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1122 Ne 122nd Ave Ste 200
Portland, OR 97230-2081
Phone: (503) 594-4750
Approximate (ZIP-level) locationGet directions
Mailing address
21724 Se Alder Dr Apt 3
Gresham, OR 97030-2449
Registry dates
- Enumerated
- 2023-11-01
- Last updated
- 2023-11-01
- Certified
- 2023-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.